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    <div class="topnavtitle">结单</div>
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      <div class="mbox bor-b">
        <p>报障时间：2016-09-26 16:50:20</p>
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          <div class="col-xs-6">
            <p>报障人：admin</p>
          </div>
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            <p>1345689526</p>
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      </div>
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        <div class="mbox mt10">
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             <optgroup label="凭条打印机">              
                <option value="添加打印纸">打印机缺纸</option>
                <option value="2">打印头黑点</option>
                <option value="3">打印头马达</option>        
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            <optgroup label="读卡器问题">              
                <option value="4">传动皮带</option>
                <option value="5">吞口数超</option>
                <option value="6">磁卡有问题</option> 
                <option value="7">传输通道脏</option> 
                <option value="8">读写磁头脏</option>        
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        </div>
        <div class="mbox mt10">
          <select class="form-control select2" id="select2">
            <option></option>
            <option value="1">凯欣达凭条打印机</option>
            <option value="2">凯欣达发票打印机</option>
            <option value="3">凯欣达纸币识别器</option> 
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            <option value="5">凯欣达银联读卡器</option>
            <option value="6">凯欣达身份证读卡器</option>
            <option value="7">凯欣达身发卡器</option>
            <option value="8">凯欣达条码阅读器</option>
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              <p>结单方式：</p>
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              <p>1345689526</p>
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              <p>判定结果：</p>
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              <p>1345689526</p>
            </div>
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              <label class="t">是否修复 </label>              
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                <input type="radio" name="options3" value="">未修复</label>
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                <input type="radio" name="options3" value="">待修复</label>
            </div>
          </div>          
          <textarea class="form-control" rows="3" placeholder="请输入备注"></textarea>
        </div>
        <div class="m-title bor-b">工单信息：</div>
        <div class="mbox bor-b">
          <p>设备编号：109054554</p>
          <p>设备类型：壁挂</p>
          <p>出厂编号：kl45455101</p>
        </div>
        <div class="m-title bor-b">故障信息：</div>
        <div class="mbox bor-b">
          <p>109054554</p>

        </div>
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